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Organization
JEREMIAH LONG DMD PC
Active
Organization
JEREMIAH LONG DMD PC
Active
Other names
Life Long Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH LONG D.M.D. (OWNER)
(203) 878-4757
Entity
Organization
Contact information
Practice address
1 CHERRY ST, MILFORD, CT 06460-3482
(203) 878-4757
(203) 874-9253
Mailing address
1 CHERRY ST, MILFORD, CT 06460-3482
(203) 878-4757
(203) 874-9253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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